Individual provider Active NPI

Tamara S Osibote, CMC

  • Case Manager/Care Coordinator
  • Binghamton, NY
National Provider Identifier
1194391722
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
C-3371
Practice address
136 E. Service Road
Suite 301
Binghamton, NY 13901
Phone
(607) 283-5176
NPI assigned
Jun 3, 2021
Last updated
Mar 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X C-3371 Primary

Addresses

Primary practice location

136 E. Service Road
Suite 301
Binghamton, NY 13901

Mailing address

511 Main Street Box 156
Chenango Bridge, NY 13745-0156
Phone (607) 283-5176

Other identifiers 1

IdentifierTypeStateIssuer
C-3371OtherNATIONAL ACADEMY OF CERTIFIED CARE MANAGERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Icare Adult Home Services CurrentSince Aug 22, 2017 Accepting new patients
Icare Elder Services LLC Current Accepting new patients

Locations

511 Main St
Unit 156
Chenango Bridge, NY 13745

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1194391722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 MAIN STREET BOX 156",
            "city": "CHENANGO BRIDGE",
            "state": "NY",
            "postal_code": "137450156",
            "telephone_number": "607-283-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 E. SERVICE ROAD",
            "address_2": "SUITE 301",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "13901",
            "telephone_number": "607-283-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSIBOTE",
        "first_name": "TAMARA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "CMC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": "C-3371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL ACADEMY OF CERTIFIED CARE MANAGERS",
            "identifier": "C-3371",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.